Learning curves and surgical outcomes for proctored adoption of laparoscopic ventral mesh rectopexy: cumulative sum curve analysis.

Background: Laparoscopic ventral mesh rectopexy (VMR) is an effective and well-recognised treatment for symptoms of obstructive defecation in the context of rectal prolapse and recto-rectal intussusception. However, due to the technical complexity of VMR, a significant learning curve has been previously described. This paper examines the effect of proctored adoption of VMR on learning curves, operative times, and outcomes.

A Multicenter Collaboration to Assess the Safety of Laparoscopic Ventral Rectopexy.

Background: Concerns have been raised regarding the potential risk of mesh complications after laparoscopic ventral rectopexy.

Objective: This study aimed to determine the risk of mesh and nonmesh morbidity after laparoscopic ventral rectopexy and to compare the safety of synthetic meshes with biological grafts.

Design: This was a retrospective review.

Proficiency gain curve and predictors of outcome for laparoscopic ventral mesh rectopexy.

Background: Laparoscopic ventral mesh rectopexy (LVMR) is a well-recognized treatment for rectal prolapse and high-grade rectal intussusception. However, it is technically complex with the possibility of clinically relevant morbidity. The objectives were to define (i) the efficacy and safety of LVMR, (ii) risk factors for poor clinical outcome, and (iii) the autodidactic proficiency gain curve.

Stapled transanal rectal resection for obstructed defecation: a cautionary tale.

Purpose: This prospective study was designed to assess the efficacy and safety of a novel technique in treating outlet obstruction syndrome using a transanal double-stapling procedure.

Methods: Two hundred thirty patients (187 female) with obstructed defecation underwent stapled transanal rectal resection over a six-year period with follow-up at 2, 6, and 12 months, then yearly; median follow-up was 24 (range, 12-68) months. All failed conservative measures.

Telephone follow-up following office anorectal surgery.

Introduction: Patients with minor anorectal conditions are frequently reviewed at an 8-week out-patient appointment (OPA). This study was designed to assess whether telephone follow-up could reduce OPA numbers whilst maintaining patient satisfaction.

Patients And Methods: Over an 11-month period, 46 patients (23 male) underwent banding of haemorrhoids and 14 were prescribed medical treatment for fissure-in-ano (3 male).